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Cutaneous Pneumocystis carinii Infection Mimicking Kaposi Sarcoma
- Margaret A. Litwin, MD; and
- Carmen Myrie Williams, MD
Excerpt
Pneumocystis carinii pneumonia is often the first infectious manifestation of the acquired immunodeficiency syndrome (AIDS); almost two thirds of patients initially present with it. Extrapulmonary infection with P. carinii, however, is rare and, until recently, was found almost exclusively in association with overwhelming Pneumocystis pneumonia and extensive systemic debilitation. We present a case of cutaneous pneumocystosis in the absence of co-existing lung infection in a patient with AIDS. In four of five previous reports of patients with cutaneous pneumocystosis, the involvement was limited to otic polyps (1-4). Most recently, Hennessey and colleagues (5) reported cutaneous pneumocystosis in a non-otic location
Acknowledgments
Acknowledgment: The authors thank Edward Stolar, MD, for referral of this patient.
Article and Author Information
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From George Washington University Medical Center, Washington, DC. For current author addresses, see end of text.
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Requests for Reprints: Carmen Myrie Williams, MD, The George Washington University Medical Center, Department of Dermatology, 2150 Pennsylvania Avenue, NW, Washington, DC 20037.
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Current Author Addresses: Dr. Litwin: The University of Michigan Medical Center, Department of Internal Medicine, 1500 East Medical Center Drive, Ann Arbor, MI 48109.
Dr. Myrie Williams: The George Washington University Medical Center, Department of Dermatology, 2150 Pennsylvania Avenue, NW, Washington, DC 20037.
